Integrated Holistic Medicine

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP3080 Issued in FL

Legal business name

INTEGRATED HOLISTIC MEDICINE

Practice address

9045 La Fontana Blvd
Suite 106
Boca Raton, FL 33434-5636

Phone

(954) 825-3670

NPI assigned

Mar 25, 2012

Last updated

Mar 25, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Carlos Andres Restrepo, L.ACNPI 1790041986

Title

Acupuncturist/Manager

Phone

(954) 825-3670

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos Andres Restrepo, L.AC

  • Acupuncturist
  • Boca Raton, FL
  • NPI 1790041986
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332633600000",
    "number": "1477829398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9045 LA FONTANA BLVD",
            "address_2": "SUITE 106",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345636",
            "telephone_number": "954-825-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 LA FONTANA BLVD",
            "address_2": "SUITE 106",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345636",
            "telephone_number": "954-825-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HOLISTIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-25",
        "last_updated": "2012-03-25",
        "status": "A",
        "authorized_official_last_name": "RESTREPO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "ACUPUNCTURIST/MANAGER",
        "authorized_official_telephone_number": "954-825-3670",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.